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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Permit N~ 3712
Assessor's Parcel No.
This does not constitute
a building or use permit.
Phone9l\-'8 -J)D5 Owner'sNe:&-ud"%Ho l\.b Present,Addre.J?D.~'t ~Ir"'
System Location 0 Ku bl cJ2 ~l h,1--~I c n A b I
Legal Description of Assessor's Parcel No. ---11_.o_,_d-..L.Jdi..Z'~-J=6._JLJ......_J\.u.J..0.i>-C~01..&..llNV>~:a..-'B__i.~Q.J,,,iOu~<'...d.bJQ'!>.~..S;::,,, __ _
SYSTEM DESIGN d.34' ! -I I f -o t -of.. h
______ Septic Tank Capacity (gallon) ______ •Other
------Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _
Required Absorption Area -See Attached
Special Setback Requirements:
Date _____________ Inspector ___________________________ _
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer ________________________________________ _
Septic Tank Capacity ______________________________________ _
Septic Tank Manufacturer or Trade Name-------------------------------
Septic Tank Access within 8" of surface --------------------------------
Absorption Area _______________________________________ _
Absorption Area Type and/or Manufacturer or Trade Name --------------------------
Adequate compliance with County and State regulationsfrequirements _____________________ _
Other-------------------------~~-----------------
lnspector /3y~ . f;f\f\a.c.1~ .Des\51-1 Date 5 '/ ? •O :"$
RETAIN WITH RECEIPT RECORosfuoNSTRUCTION SITE
•CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con-
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a
requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine -6
months in jail or both).
White -APPLICANT Yellow. DEPARTMENT
2
IH~IDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
Ou->l\~r: t\S €r1c 'Brt.\.(~if
OWNERADDRESS ?.o. =:Bax a-364 A5f?EN C'o 81C 0 12 I I
PHONE 925 -1452
CONTRACTOR ADDRESS G'ro '":zl'4 t S\.)UL.LG ~:r 'Tu? IV€ I C/sf,fl,()NlYrt.£ I co
PHONE q l. 3 ~q7 3o
PERMIT REQUEST FOR: (/NEW INSTALLATION ()ALTERATION ()REPAIR
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable building, location of potable water wells, soil percolation test
holes, soil profiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY:
Near what City or Town -~C.z;;f«~M!.."""""",""Ol'n=.i.-E1;....-----------
Size of Lot 9 .502 Ace..t=
tor
Legal Description or Address 53 Q 6i'X::Jc'. .fl01 • rr fOAI\
I
WASTES TYPE:
(\('Dwelling ()Non-Domestic Wastes
( ) Transient Use ( ) Commercial Or Industrial
()Other: Describe: ____________________ _
BUILDING OR SERVICE TYPE:
Number of Bedrooms, ____ -4_,__ __________ _
Numberof Pemons ____ ...._ __________ _
(I.{ Garbage Grinder (.{Automatic Washer ({Dishwasher
SOURCE AND TYPE OF WATER SUPPLY:
( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name c;>f supplier: PAuofAmA fAUC!1€5
\"tz::me OWt-:etS ASSCC .
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System? fives ( ) No
'
r
l
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: 100 feet 5ro:~ 7r {"~ R.A.N Septic Tank to Well:
Leach Field to Irrigation Ditches, Stream or Water Course
Septic System to Property Lines:
50 feet
50 feet
10 feet
3
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED
WITHOUT A SITE PLAN.
GROUND CONDITIONS:
Depth to first Ground Water. __________________ _
Table Percent Ground Slope: ___________________ _
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
'6() Septic Tank ( ) Aeration Plant () Vault
( ) Vault Privy
() Pit Privy
()Chemical Toilet
() Composting Toilet
( ) Incineration Toilet
( )Recycling/ Potable Use
( ) Recycling/Other Use
()Other-Describe: ____________ _
FINAL DISPOSAL BY:
f)6 Absorption Trench, Bed Or Pit
( ) Underground Dispersal
( ) Above Ground Dispersal
( ) Evapotranspiration
( ) Sand Filter
()Wastewater Pond
()Other-Describe: ____________________ _
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? No
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the
Engineer does the Percolation Test) -ft, ~ !J£rlitz111r1"1£-D:
Minutes ____ per inch in hole No. 1 Minutes ____ per inch in hole No. 3
Minutes per inch in hole No. 2 Minutes per inch in hole No. 4
l. RPE WHO lOCSOIL ABSORPTION TESTS:
Name: _h..IS Jt.. BR.V~li..(L
Address: Bo. &1' 33o4 k.r~
Telephone: l'li-o) 9 2;3-34'0(5'
RPE F..ESPONSIBLE FOR DESIGN OF THE SYSTEM:
Name: l±J>N4 fC:. • BIWGl<-Jtll...
Address: (.o. J?o¥ 3304 Asfi'tl (.,0 Sl'21,_,
Telephone:_l:Jro) qz:s-Cf 4-9>"
4
Applicant acknowledges that the completeness of the application is conditional upon such
further mandatory and additional tests and reports as may be required by the local health
department to be made and furnished by the applicant or by the local health department for
purposed of the evaluation of the application; and the issuance of the permit is subject to such
terms and conditions as deemed necessary to insure compliance with rules and regulations
made, information and reports submitted herewith and required to be submitted by the applicant
are or will be represented to be true and correct to the best of my knowledge and belief and are
designed to be relied on by the local department of health in evaluating the same for purposes
of issuing the permit applied for herein. I further understand that any falsification or
misrepresentation may result in the denial of the application or revocation of any permit granted
based upon said application and in legal action for perjury as provided by law.
Sign d:_~~~~::.....:::._.:;..t,~0:..L..:~~------
Date: ________ _
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
,
Ha~ :3 03 07:32a HANS E. BRUCKER 9709239694
PINNACLE DESIGN
CONSUL TIN R UP, INC.
1232 WOOD8 ROAD • AIPEN, CO 11812
97MZ3·-• 970.92:S.96M fAX
RE: SUBSURFACE INVESTIGATION AND OWS DESIGN
BRUCKER RESIDENCE 805 BUCKPOINT ROAD
BUILDING PERMIT NUMBER 8439
Dear Tim:
As a condition of obtaining sign off on my building permit for the suQiect residence, I am
writing this letter to provide you with the necessary information for both the design and
construction of the system.
SITE CONDITIONS
The drain field location is located southwesterly of the residence. Prior to construction,
the natural terrain sloped at a grade of eleven percent from north to south and was
covered in native vegetation consisting of grasses and sagebrush.
RESIDENCE DESIGN
The current residence bas three bedrooms and two and one half bathrooms. Two future
bedrooms may be constructed, at which time the septic system will be enlarged to
accommodate the increased flows. The basis for the current design, however, is limited
to accommodate three bedrooms.
SUBSURFACE CONDmONS
A subsurface investigation was performed on August 24, 2002 by excavating three
percolation test holes, approximately 35 to 47 inches deep and one profile pit at the
locations indicated on the attached plan Figure 1. Subsurfilce materials in the profile pit
consisted of approximately six inches of topsoil underlain by approximately eighteen
inches of slightly clayey, gravelly sand and cobbles. Beneath was gravelly, silty sand
with cobbles (slightly calcareous) down to a maximlDJl depth of eight feet. No ground
water was encountered in the profile hole. Percolation tests perfonned in the area ranged
from seven minutes per inch {MPI) to thirteen MPI and the average percolation rate was
approximately ten MPI. Pen:olation test results are shown in Table 1 attached.
p. 1
1
Ma~ 13 03 07:32a
May 12, 2003
Mr. Tim Holiday
Page2of2
HANS E. BRUCKER
PROPOSED DESIGN AND CONSTRUCTION
9709239694
PINNACLE DESIGN
CONSUL TING GROUP, INC.
Based on the bedroom count and the percolation rates observed, the system requires a
minimum infiltrative area of 684 square feet according to the minimum, drain field area
requirements fur individual residences in Garfield County. Standard Infiltrator units
were chosen to construct the absorption trenches. Three individual trenches were built
using graveness chambers. Each trench contains sixteen Standard Infiltrator units fur a
total of 750 square feet (6.25 feet x 2.5 feet x 48 units = 750 square :feet). I decided to
slightly over design the absorption field to provide more treatment area than the
minimum required by Garfield County. As mentioned earlier, future bedrooms, when
added to the house, will require an even larger absorption field area. However, the 1,500-
gallon, double compartment, septic tank that was installed is si7.ed to accommodate two
additional bedrooms.
Cleanouts were provided fur the line running from the house to the septic tank.
Inspection ports were also installed at the beginning and ends of the seepage trenches.
Finished grade over the septic trenches is flatter than the natural grade and averages
approximately five percent. In addition, the area was regarded as much as possible to
prevent surfuce water from running toward the seepage trenches.
SYSTEM INSPECTON
The final septic system was installed in accordance with Garfield County standards and
specifications.
Please feel free to give me a call if you have any questions or comments.
HEB/heb
p.2
Ma~ :.3 03 07:32a HANS E. BRUCl<ER 9709239694 p.3
1
•
Ma~ l3 03 07:32a HANS E. BRUCKER 9709239694
PINNACLE DESIGN
CONSUL TING GROUP, INC.
TABLE 1 -PERCOLATION TEST RESULTS
LOT 53D PANORAMA RANCHES MINOR SUBDMSION
C:;ARFIELD COUNTY, COLORADO
E;UILDING PERMIT NUMBER 8439
F'ROFILE HOLE FEET DESCRIPTION
DATE OF TEST:
AUGUST 24, 2002
rCH>.5
0.5-2 1::1
=ravelly sand v.tth cobbles, dry, brown
HOLE
HUMBER
1
2
3
DEPTH
OF HOLE
(INCHES)
42
39
47
I Gravelly, silty sand, with v.nth cobbles. Slightly calcareous I
DEPTH
END CHANGE
TIME
INTERVAL
(MINUTES)
START
DEPTH
(INCHES) (INCHES)
20 7.50 10.25 2.75
20 10.25 13.25 3.00
20 13.25 15.75 2.50
20 15.75 18.00 2.25
20 18.00 20.75 2.75
20 3.00 6.50 3.50
20 6.50 9.75 3.25
20 9.75 12.50 2.75
20 12.50 15.75 3.25
20 15.75 18.75 3.00
20 9.00 11.75 2.75
20 11.75 13.75 2.00
20 13.75 15.25 1.50
20 15.25 16.75 1.50
20 16.75 18.25 1.50
Number of Percolation Holes 3
Ave. Percolation Rate (MPI) 9.67
Use 10 (MPI)
INTERVAL
PERC.
RATE
(MPI)
7
7
8
9
7
6
6
7
6
7
7
10
13
13
13
AVE.
HOLE
PERC.
RATE
(MPI)
9
7
13
p.4